Case Report
Successful Transplantation of a Split Crossed Fused Ectopic Kidney into a Patient with End-Stage Renal Disease
| Case Reports | Bailey et al. [8] | Ojo et al. [10] |
| Donor age/sexCOD | 36/MCHI | 20/MMVA | Diagnosis made | Procurement | Pre-operative CT scan | Description of Fusion | Left sided with inferior ectopia | Right sided with inferior ectopia | Arterial anatomy | 3 arteries originating from infra-renal aorta | 3 arteries originating infra-renal aorta and at iliac bifurcation | Arterial reconstruction | Two separate anastamoses, one of the single dominant artery and the second a patch of the two smaller arteries | Donor aorta directly to recipient iliac | Venous anatomy | Two veins originating from IVC | Five veins originating from IVC | Venous reconstruction | Two separate anastamoses to recipient iliac vein, initially one vein was ligated but reopened with evidence of venous hypertension. | Donor IVC to recipient iliac vein | Ureteral anatomy | Two ureters, separate bladder anastamoses. | Two ureters, separate bladder anastamoses. | Other information | Peritoneum opened to facilitate positioning | | Follow-up | 40 months, normal graft function | 30 days, normal graft function |
|
|
CHI=closed head injury, MVA=motor vehicle accident, CT=computed tomography, IVC=inferior vena cava
|